This has to be in the running for the best title of a presented abstract “Ambitious but hopeless Anaesthesiologist: Case Study” (it’s abstract no 59 if you’re interested). In it, the somewhat angry authors describe a colleague (for whom there appears to be little respect) attempting to insert a haemodialysis catheter into the subclavian vein.

Every so often we have a patient who has had their coagulopathy corrected before the insertion of a central line.Although this is done with the best of intentions, it’s not my own practice and I think it increases rather than reduces risk.In fact, it’s one of those areas where I’ve always thought there’s an evidence base, but until writing this was never sure where I heard/read it.